| NPI | 1902215296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL M WILLIS CEO 803-586-7455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 10532) |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2014-08-15 |